E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Primary Sjogren?s Syndrome |
Síndrome de Sjorgen primario |
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E.1.1.1 | Medical condition in easily understood language |
Primary Sjogren?s Syndrome |
Síndrome de Sjorgen primario |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10040767 |
E.1.2 | Term | Sjogren's syndrome |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is to evaluate the efficacy on overall disease activity and safety of UCB5857 added to current treatment relative to placebo in subjects with Primary Sjogren?s Syndrome. |
El objetivo principal del estudio es evaluar la eficacia sobre la actividad general de la enfermedad y la seguridad del UCB5857 cuando se añade al tratamiento en curso, comparado con un placebo, en pacientes con SSp. |
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E.2.2 | Secondary objectives of the trial |
1) The efficacy of UCB5857 on changes: - in salivary function - in tear function - patient reported outcomes - cost effectiveness 2)PK profile of UCB5857 in subjects with pSS |
? La eficacia del UCB5857 con respecto a los cambios en: o La actividad salival o La actividad lagrimal o los resultados según los pacientes ? el perfil FC del UCB5857 en pacientes con SSp |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Collection of samples for mRNA and DNA to allow for potential exploratory analyses of transcriptome biomarkers and protein biomarkers relevant to inflammatory and immune response processes or relevant to the mechanism of action of UCB5857 |
Recogida de muestras para ARNm y ADN para permitir posibles análisis exploratorios de biomarcadores transcriptómicos y proteicos que resulten relevantes para los procesos de respuesta inflamatoria e inmunitaria o importantes para el mecanismo de acción del UCB5857. |
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E.3 | Principal inclusion criteria |
?Subject must be between 18 years and 75 years of age ?Women of childbearing potential must agree to use an acceptable method of birth control during the study and for a period of 3 months after their final dose of study drug. Women not agreeing to use birth control must be surgically sterile (hysterectomy/oophorectomy or tubal ligation) or postmenopausal for at least 2 years prior to Screening (Visit 1) Women of childbearing potential are required to have a serum pregnancy test taken at Screening (Visit 1), which is confirmed to be negative by urine testing prior to the first dose of study drug at Week 0 (Visit 2) ?Subject must meet the 2002 AECG criteria for Primary Sjogren?s Syndrome ?Subject must have a serum test positive for anti-SSA/Ro (Ro-52 and Ro-60) and/or anti SSB/La autoantibodies ?Subject must have an ESSDAI score of ?5 ?Subject must have an unstimulated salivary flow rate of > 0mL/5 minutes |
*El paciente deberá tener entre 18 y 75 años de edad. *Las mujeres con capacidad de quedarse embarazadas deberán aceptar el uso de un método aceptable de control de la natalidad durante el estudio y en los tres meses posteriores a su última dosis del medicamento del estudio. Se consideran métodos aceptables de control de natalidad los anticonceptivos orales (que deberán tomarse de manera ininterrumpida durante un mes entero antes de la selección [visita 1], y deberán seguir tomándose ininterrumpidamente durante el estudio), métodos de doble abarrera, y métodos de barrera simple con diafragma que incluya espermicida o preservativo con espermicida. Las mujeres que no acepten utilizar métodos de control de natalidad deberán estar esterilizadas quirúrgicamente (histerectomía/ooforectomía o ligadura de trompas) o ser postmenopáusicas desde al menos dos años antes del momento de la selección (visita 1). Las mujeres con capacidad de quedarse embarazadas deberán someterse a una prueba de embarazo en suero en la selección (visita 1), que se confirmará como negativa mediante una prueba de embarazo en orina antes de recibir la primera dosis del medicamento del estudio en la semana 0 (visita 2). *Los pacientes deberán cumplir los criterios AECG 2002 para SSp *El paciente deberá haber dado seropositivo para los autoanticuerpos anti-SSA/Ro (Ro-52 y Ro-60) y/o anti-SSB/La. *El paciente deberá tener un valor ESSDAI ?5. *El paciente deberá presentar una producción salival sin estimulación > 0 ml/5 minutos. |
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E.4 | Principal exclusion criteria |
?Subject has a diagnosis of any other autoimmune disease, ie, secondary Sjögren?s syndrome (eg, rheumatoid arthritis, systemic lupus erythematosus) ?Subject has a diagnosis of any other sicca syndrome (eg, history of head and neck radiation treatment, sarcoidosis chronic graft-versus-host disease) ?Subject has, in the opinion of the Investigator, significant fibromyalgia syndrome ?Subject has, in the opinion of the Investigator, significant depression ?Subject has oral candidiasis ?Subject is female and is breast-feeding, pregnant, or plans to become pregnant or to start breastfeeding during the study or within 3 months after the final dose of the investigational medicinal product (IMP) ?Subject has evidence of an immunosuppressive state, including human immunodeficiency virus (HIV) infection, hypogammaglobulinemias, T-cell deficiencies, or human T-cell leukemia virus type 1 (HTLV-1) ?Subject has a history of chronic infections, including but not limited to concurrent acute or chronic viral hepatitis B or C. A subject with a history of a recent serious or life-threatening infection or any current signs or symptoms that may indicate a significant infection at Screening (Visit 1) to randomization, as per the Investigator?s clinical judgment is also excluded. Subject must have completed any prior anti-infective therapy prior to the first dose of study drug with the exception of anti-infectives taken specifically for the treatment of acne, rosacea, onychomycosis, or vaginal yeast infections; for the prophylaxis of urinary tract infections; or prophylaxis for pre-surgical or pre-procedural reasons (including dental procedures). Note: minocycline may not be used for these purposes ?Subject is, in the opinion of the Investigator, at a particularly high risk of significant infection due to their lifestyle and/or occupation ?Subject has received intranasal influenza vaccine within the 8 weeks prior to Screening (Visit 1) ?Subject has significant hematologic abnormalities of hemoglobin <8.0g/dL, or white blood cell (WBC) <2000/mm3, or absolute neutrophil count <1000/mm3, or platelets <30,000/mm3 at Screening (Visit 1) ?Subject has a history of cancer, except the following treated cancers: Sjögren?s syndrome associated lymphoma, cervical carcinoma in situ, basal cell carcinoma, or dermatological squamous cell carcinoma |
*Al paciente se le ha diagnosticado cualquier otra enfermedad autoinmunitaria, es decir, síndrome de Sjögren secundario (por ejemplo: artritis reumatoide o lupus eritematoso sistémico). *Al paciente se le ha diagnosticado cualquier otro síndrome seco (por ejemplo, antecedentes de radioterapia otorrinolaringológica, sarcoidosis crónica, rechazo inverso de injertos). *El paciente presenta, en opinión del investigador, un síndrome fibromiálgico considerable. *El paciente presenta, en opinión del investigador, una depresión considerable. *El paciente padece candidiasis bucal *La paciente es mujer y está amamantando, está embarazada o prevé quedarse embarazada o empezar a dar el pecho durante el estudio, o en los 3 meses posteriores a recibir la última dosis del medicamento experimental (ME). *La paciente muestra signos de inmunodepresión, como infección por el virus de la inmunodeficiencia humana (VIH), hipogammaglobulinemias, deficiencias de células T, o infección por el virus T-linfotrópico humano tipo I (VTLH-I). *El paciente presenta antecedentes de infecciones crónicas, entre otras, hepatitis B o C vírica crónica o aguda de manera concurrente. Los pacientes con antecedentes de una infección grave o potencialmente mortal reciente, o que en la actualidad presenten cualquier signo o síntoma que indique una infección significativa en el momento de la selección (visita 1) hasta la aleatorización en la visita 2, según el criterio clínico del investigador, también quedarán excluidos. El paciente deberá haber completado cualquier tratamiento antiinfeccioso previo antes de recibir la primera dosis del medicamento del estudio, excepto los fármacos antiinfecciosos que se tomen específicamente para el tratamiento del acné, acné rosácea, onicomicosis o infecciones vaginales por hongos levaduriformes; para la profilaxis de infecciones del aparato urinario; o para profilaxis prequirúrgica o previa a una intervención (inclusive intervenciones odontológicas). Nota: no deberá utilizarse minociclina para estos fines. *El paciente está, en opinión del investigador, en riesgo especialmente alto de infección considerable a causa de su estilo de vida o actividad laboral. *El paciente ha recibido una vacuna antigripal intranasal en las 8 semanas antes de la selección (visita 1). *El paciente presenta anomalías sanguíneas significativas como hemoglobina <8,0 g/dl, o leucocitos <2000/mm3, o recuento total de neutrófilos <1000/mm3, o de plaquetas <30.000/mm3 en la selección (visita 1). *El paciente tiene antecedentes de cáncer, excepto los cánceres tratados siguientes: Linfoma asociado al síndrome de Sjögren, carcinoma cervicouterino preinvasor, carcinoma basocelular, carcinoma dérmico de células escamosas. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change from Baseline in the European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ESSDAI) |
Cambio en el ESSDAI desde el valor de partida |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1) Change from Baseline in the European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ESSDAI) 2) Change from Baseline in the EULAR Sjögren's Syndrome Patient Response Index (ESSPRI) 3) Change from Baseline in the stimulated salivary flow 4)Change from Baseline in the unstimulated salivary flow 5)Change from Baseline in Schirmer I test (without anesthesia) |
1) Cambio en el ESSDAI desde el valor de referencia. 2) Cambio en ESSPRI desde la situación inicial 3) Cambio en la producción salival, con estimulación 4) Cambio en la producción salival, sin estimulación 5) Cambio en la secreción lagrimal según la prueba I de Schirmer (sin anestesia) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) Week 4 and 8 2) Week 4, 8 and 12 3) Week 4, 8 and 12 4) Week 4, 8 and 12 5) Week 12 |
1) Semanas 4 y 8 2) Semanas 4, 8 y 12 3) Semanas 4, 8 y 12 4) Semanas 4, 8 y 12 5) Semana 12 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 17 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Última visita del último paciente. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 14 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 14 |